<h2 align = "center"><img src = "webroot/img/Synergyfx_large_Logo.gif"/> Synergy Forex Pty Ltd - Backoffice App</h2>
<form action="/users/register" method="post">
<p>Please fill out the form below to register an account.</p>
<label>Username:</label><input name="login" size="40" />
<label>Password:</label><input type="password_web" name="password" size="40"
/>
<label>Email Address:</label><input name="email" size="40"
maxlength="255" />
<label>Name:</label><input name="name" size="40" />
<label>Role:</label><input name="role" size="12" />
<label>Agent Account:</label><input name="role" size="12" />
<input type = "hidden" name="modify_time" size="12" value = "2011-12-15 10:00:00" />
<input type="submit" value="register" />
</form>